WATERLOO EYE CARE
NPI 1518199371
Eyewear Supplier in Waterloo, NY

Active since August 12, 2009
204 MAIN STREET SHOP CTR, WATERLOO, NY 13165(315) 539-1209(315) 539-1425 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waterloo Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERLOO EYE CARE (NPI 1518199371) is a healthcare organization registered as an eyewear supplier in Waterloo, New York and active in the NPI registry since August 2009. The organization lists Daniel David Goodman, President/optician, as its authorized official.

NPPES Registry Identity

NPI1518199371
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWATERLOO OPHTHALMIC DISPENSING, PC
Location Address204 MAIN STREET SHOP CTRWaterloo, NY 13165-1454
Mailing Address204 Main Street Shop CtrWaterloo, NY 13165-1454 · (315) 539-1209 · Fax (315) 539-1425
Fax(315) 539-1425
Organization SubpartNo
Authorized OfficialDaniel David GoodmanPresident/optician · (315) 539-1209
Enumeration DateAugust 12, 2009
NPI 1518199371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in NY · C004107-1
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
204 MAIN STREET SHOP CTR, Waterloo, NY 13165

Other Names 1

Doing Business AsWaterloo Eye Care

Other Identifiers 1

Medicare UPIN5944090001NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165
Technician/Technologist (Optician)
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165
Technician/Technologist (Optician)
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waterloo Ophthalmic Dispensing, PC's NPI number?

The NPI number for Waterloo Ophthalmic Dispensing, PC is 1518199371. It was assigned to this organization in the NPPES registry on August 12, 2009. The provider is doing business as Waterloo Eye Care.

Where is Waterloo Ophthalmic Dispensing, PC located?

Waterloo Ophthalmic Dispensing, PC is located at 204 Main Street Shop Ctr, Waterloo, NY 13165. The listed phone number is (315) 539-1209.

What is Waterloo Ophthalmic Dispensing, PC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Waterloo Ophthalmic Dispensing, PC was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.